Source

London School of Hygiene and Tropical Medicine, London, UK School of Dental Sciences, Newcastle University, Newcastle, UK Department of Conservative Dentistry, University Hospital of Jena, Jena, Germany School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia Department of Biomaterials Science, Osaka University Graduate School of Dentistry, Osaka, Japan Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Peradeniya, Sri Lanka Department of Restorative Dentistry, Cork University Dental School and Hospital, Cork, Ireland Department of Periodontics, University of Washington, Seattle, WA, USA Faculty of Odontology, University Complutense, Madrid, Spain Institute of Health and Society, Newcastle University, Newcastle, UK.

Abstract

Pennington M, Heasman P, Gaunt F, Güntsch A, Ivanovski S, Imazato S, Rajapakse S, Allen E, Flemmig T, Sanz M, Vernazza C. The cost-effectiveness of supportive periodontal care: a global perspective. J Clin Periodontol 2011; doi: 10.1111/j.1600-051X.2011.01722.x. ABSTRACT: Aim: To evaluate the cost-effectiveness of supportive periodontal care (SPC) provided in generalist and periodontal specialist practices under publicly subsidized or private dental care. Material and methods: SPC cost data and the costs of replacing teeth were synthesized with estimates of the effectiveness of SPC in preventing attachment and tooth loss and adjusted for differences in clinician's time. Incremental cost-effectiveness ratios were calculated for both outcomes assuming a time horizon of 30 years. Results: SPC in specialist periodontal practice provides improved outcomes but at higher costs than SPC provided by publicly subsidized or private systems. SPC in specialist periodontal practice is usually more cost-effective than in private dental practice. For private dental practices in Spain, United Kingdom and Australia, specialist SPC is cost-effective at modest values of attachment loss averted. Variation in the threshold arises primarily from clinician's time. Conclusion: SPC in specialist periodontal practice represents good value for money for patients (publicly subsidized or private) in the United Kingdom and Australia and in Spain if they place relatively modest values on avoiding attachment loss. For patients in Ireland, Germany, Japan and the United State, a higher valuation on avoiding attachment loss is needed to justify SPC in private or specialist practices.

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About Me

Martin Jablow DMD, is America's Dental Technology Coach. He practices general dentistry in a group setting in Woodbridge, NJ. Dr. Jablow promotes the use of technology in the dental office to improve efficiency and patient care. He lectures and writes articles on the use of technology to enhance the practice of dentistry. Dr. Jablow can be reached by email at marty at dentaltechnologycoach dot com